ARJO HUNTLEIGH First Step Plus User manual

First Step Plus
OPERATIONS MANUAL
P/N 200676-AH Rev A •09/2013 ...with people in mind

This First Step™ Plus Operations Manual is not a guarantee or warranty as to this product. It is intended only as a
service guide. For additional information, or for specific questions, please contact ArjoHuntleigh Customer Service.
In order for ArjoHuntleigh products to perform properly, the following conditions must be met. Failure to comply
with these conditions will void any pertinent warranties.
•All assembly, operation, adjustment, modification, maintenance and / or repair be carried out only by qualified
personnel authorized by ArjoHuntleigh.
•The electrical installation of the room must comply with the appropriate electrical wiring standards.
•The product must be used in accordance with this manual, this product’s Maintenance Manual and Quick
Reference Guide and all applicable labeling.
The only servicing to be carried out by the user is described in the Maintenance Chapter of the First Step Plus
Maintenance Manual.
Upon customer request and execution of any required confidentiality agreement, ArjoHuntleigh will make available,
circuit wiring diagrams, component parts lists, descriptions, calibration instructions or other information which
assist the user’s appropriately qualified personnel to repair those parts of the equipment designated by the
manufacturer as repairable.

i
INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Contraindications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Risks and Precautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Maximum Patient Weight. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Safety Tips. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
PATIENT PLACEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Preparing for Patient Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Patient Transfer to First Step Plus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Ambulatory Patient Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Non-Ambulatory Patient Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Air Pressure Adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Completion of Patient Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
NURSING CARE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
CPR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Patient Transfer to First Step Plus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Patient Transfer from First Step Plus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Ambulatory Patient Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Non-Ambulatory Patient Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Patient Transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Patient Bathing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Bedpan Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Bedpan Removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Repositioning Patient Using Dri-Flo Underpads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Incontinence / Drainage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Skin Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
General Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
CARE AND CLEANING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Daily Care and Cleaning of First Step Plus While in Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Weekly Care and Cleaning of First Step Plus While in Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
OPERATING INSTRUCTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Power-Up Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Pressure Adjust . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Warmer Adjust. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
SPECIFICATIONS* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
QUESTIONS AND INFORMATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
TABLE OF CONTENTS

ii

1-1
1
INTRODUCTION
First Step Plus is a pressure-relieving mattress overlay designed to suspend a patient on a low-air-loss support
surface, providing effective pressure relief and early intervention for patients with skin breakdown.
First Step Plus Overlay is constructed of nylon fabric with moisture vapor permeable backing and is divided into
three sections: head, body and feet. The Air Supply Unit consists of a single constant speed blower with Warmer to
provide air temperatures that can be adjusted for each section of Overlay to meet individual patient needs.
INDICATIONS
First Step Plus is intended to help treat and reduce the incidence of pressure ulcers, while optimizing patient
comfort.
CONTRAINDICATIONS
Patient conditions for which the application of pressure relieving therapy on First Step Plus are contraindicated
include:
•unstable spinal cord injury
•unstable vertebral fracture
•cervical traction
RISKS AND PRECAUTIONS
•Transfer – Precaution should be taken during patient transfer, including locking of caster brakes and deflation
of Overlay surface. (Refer to Patient Transfer sections in the Patient Placement and Nursing Care chapters
of this manual.)
•Side Rails and Restraints – Use or non-use of restraints, including Side Rails, can be critical to patient safety.
WARNING: Serious injury or death can result from the use (potential entrapment) or non-use (potential patient
falls) of Side Rails or other restraints. (See related Safety Tips section.)
•Patient Migration –WARNING: Specialty surfaces have different shear and support characteristics than
conventional surfaces, and may increase risk of patient movement, sinking and / or migration into hazardous
positions of entrapment and / or inadvertent bed exit.
•Skeletal Traction or Unstable Fracture (if not contraindicated) –With unstable fractures or skeletal
traction, if not contraindicated, maintain physician-directed angle of articulation, and use care to guard against
risk of patient migration or inadvertent deflation of air surface.
•Oxygen Use – DANGER: Risk of explosion if used in the presence of Flammable Anesthetics. Use of this
product’s Air Supply Unit in an oxygen-enriched environment may produce potential of fire hazard. This
equipment is not suitable for use in the presence of a flammable anaesthetic mixture with air or with oxygen or
nitrous oxide.
CAUTION: Position Air Supply Unit only at foot-end of bed when using Oxygen Administering Equipment.
•Electromagnetic Interference – Although this equipment conforms with the intent of directive 89 / 336 / EEC
in relation to Electromagnetic Compatibility, all electrical equipment may produce interference. If interference is
suspected, move equipment away from sensitive devices or contact manufacturer.
•Shock Hazard – Electrical shock hazard; do not remove cover. Refer to Qualified Service Personnel.